Individual
DR. RUBEN NEIL NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
CALLE 2 J-20, EXTENSION HERMANAS DAVILA, BAYAMON, PR 00959
(787) 460-5937
(787) 786-3548
Mailing address
CALLE 2 J-20, EXT HERMANAS DAVILA, BAYAMON, PR 00959
(787) 460-5937
(787) 786-3548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
589
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058637
MEDICARE PTAN
PR
Enumeration date
09/06/2006
Last updated
08/31/2010
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